2791LOT NO, G�
STREET
W Z FIND
APPLICATION FOR BUILDING PERMIT
�i _
CITY OF CUPERTINO
o zz tjbj Sanitary No.
3�
W W Date 196—Z Permit No.
Fo i
LL
W Allpli on i 'hEteby made for a permit to &O -15-2e P4
a
aa a - lee-eIstory, Type e/a.✓ 32.#'Building
to be occupied only asit'o�
0 o in accordance with Plans, Specifications and lot -Plan filed herewith.
el
F3 Estimated Value of Improvements, $ ,,25,000 Fee $
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
_J Z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be m 'ed with.
3�
— m Owne � 0,l �'��� Address_
W
�
W By / Address
O i
a U Phon Approved
State License/5UAC79 - BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
'S~`
UNDERFLOOR
o7
DATE INSPFCTOR
FRAME
'
DATE. INSPECTOR
LATH nd PLASTER
r_ DATE INSPECTOR
" y
FINAL BLDG.
`�'
\
c`
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
.1110, LOT NO. 112 O
T `
0V APPLI I [� . FOR PLUMBING PERMIT
IJAN 1 Y OF CUPERTINO
14 9964
Jnp� n Sanitary No. /
Dat�i ryr"1 �1� 196— Permit No. �_Sb
LR(7
Fee $ 1,70o
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises
Owner �.Ji4.f'/� fid_ Address J
By �.P�CC)CF �/ -� Address /tyr-W C' 1.4
CONTRACTOR, AGENT
PhoneW�, 6 —" Ld
State License Approve `
PLUMBING INSPECTOR
FIXTURES NUMBER I
UNITS FEES UNITS FEES
Water Heate % Size 2")c
Water Closets 3 Material G -r
Bath Tubs To Curb
Lavatories
J To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
Storm Drain Fee
WUasl Trays
STORM DRAINAGE
Washing Machines /
Size
Water Softeners
Material
Bar Sinks
To Main Drain
Con -ib. -Sink & Trays
To Curb
Dental Units
Drinking Fountains
==
floor Drains
WATER SYSTEM
Hoppers
Size
Restaurant Sinks I I
Material - ,
Urinals
Fixture Fee
Z,o9
Area Drains
Main Drain Fee
'XVater Leaders
Storm Drain Fee
Sprinkler Valves
Water Sys. Fee
Permit Fee
7,00
TOTAL y /2 , oo
TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
Partial Rough.. - -
Rough. Complete_.
Main Drain /
Final.._
==
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L BEL fig _-
NO. TR .
® tN FOR GAS
, JAN 14 9964OF CUPrRTINO
Date JAN 10 1964 196—
CITY OF CUPER�k
LOT NO,
PERMIT
Permit
No.
Fee- $ d
P: o Application is hereby made to the City of Cupertino for a permit to install gas pipes
IL a and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
i N and/or appliances in accordance with the provisions of the Plumbing Code of the City
a W of Cupertino, and all other laws applicable thereto.
LL Use of Premises
o a
Owner AzA� ?.Q
z
eierGuC�
��
Z
O
3 P�
By
CONTRACT
y
AGENT
N
Phone t/,— ->,6
-V0—
W
/ 66
o
State License
—u
L
Address C�Cf/��.e7`//✓�
Address
Approved
PLUMBING INSPECTOR
Type of Appliance Units Fees New Replace Relocate
Gas Ranges
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Waiming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit
Floor Furnace
Miscellaneous
NAME TYPE)
HOUSE GAS PIPING
Number of Outlets I S�a of ain
Gas Piping Fees
Tested and Approved ...... .................
D E INSPECTOR
C
NO. Y LOT NO.
LICATIION F - LECTRICAL PERMIT
ft,AR 11 1y PERTIIVO
Date�11PERT, Perrnit No.
Fee
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino, a" other laws applicable thereto.
Use of P rises
Own
/ r'(5
TRACTOR, AGENT
Phone:
State License: �0
Address
_ Address
Approved
ELECTRICAL INSPECT
:.,�. NEW RPL FEES
Size Service Conduit ---------------------- Number. of Outlets -___---_--_-_-_
-__
._ _ ------
_.._...__�
Size Service Wires __________________________Number
Size Service Switch ------------------------
Size Sub Feed Conduit ----------------
Size Sub Feed Wires ....................
of Switches ....... .........
Number of Receptacles ------------
__Number of Fixtures__-__-___-________
anges----•-----_..._. KW ..............
ate%
/I
--
_._. _ _
..........
_ -•-------
________
---••-----
� 1
`T' [ i
a' V
.......
Number of Circuits .................
Oven ---------•-•-• KW--- .... -------
--•••----•
----------
r%��
------- /r
Number of Meters ........................ Signs ----- ..-._ Transformers___._-__
----------
Misc----------------------------------------------- Dryers----. ------------------------- ----------------- ---------- -------
Motors -------------------- HP -------------------- Phase -------------------- Permit ---__,---/-- --------- HP ---- -- ----=------ Phase -------------------- Permit Fee $1.00
Motors `� HP Phase ------------ H P Charge------- l�
( TOTAL FEES
ECO OF INSPECTION APPROVALS
Rough Wirin`---•--- =='----------- Fixtures ---------------------
'/D� /
I E INSPECTOR DATE - (INSPECTOR
Finish Wiring -•-•-- Motors ..
--
DATE INSPECTOR IN PEG70R
Final - -- -L�-- •-•--••-- ----•-•=------------•--•-•-•
DATE INSPECTOR
Tract X3150
LOT NO. 10
NO._ sTRB T
R APPLIANCE PERMIT
MAR 10 196
OF CUPERTINO
LV;
Date 3 March 196.4_ Permit No.
CITY OF CUPERT' ~ Fee00
s 7�
Application is hereby made to the City of Cupertino for a permit to install
00
0 gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises
Res
u
Ward C Dev. P. 0. Box #634
�S Owner �P _ Address
SAN CA,7LO' --T 1."."7A— R S, INC* —
B Address
ne
SAN CARLpgcTENr Approve
(� o
PhLY ,l— PP
Y PLUMBING INSPECTOR100
Type of Appliance
Units Fees II
Remarks (Check %7)
New 1 Replace I Relocate
Gas Ranges I 1 II
'Wall Heaters I I II
I 1
Gas Plates I I II
I 1
Circulating Heaters I I II
Blower Furnaces 1 11.00 II
1 1
Gas Fired Boilers 1 1 11
I 1
Warming Ovens 1 1 11
1 1
Percolators
Griddles I I 11
1 1
Steam Tables 1 1 11
Gravity Furnaces 1 1 II
1 1
Suspended Unit 1 1 II
Floor Furnace 1 11
1
II
Miscellaneous 1 1
NAME TYPE) i 1 11
1
Fee 1 12.00 II
1
outlets 1 12.75 11
1
GH. Vent 1 I1.00 11
1
km. Vent 1 11.00 11
_
1
Appliance Fees 1, U7511
,
Inspected and Approved ...../-�,.J /� R�..... .E INSPE-CTCR
Bldg.. Dept
Office Coyy
BUILDING INSPECTOR'S OFFICE
'
CITY OF= CUPERTINO
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Sewer vection Sanitary Permit No...L�..'�.-.. G...'`........... '
n;—
G..'
Plumbin Permit No.....:...'......................
Plumbing Final - g
1 Lot No:.. ...`..............
�. �'Jttr i
Owner or Tenant
'
...... .,
..---� ""�. --_. .YX--:.7..:-----------.._------
! 1 1
At "----------1-------_>>!tz�.`
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Tract ............
r r hJttu
. ..... ... � - ..
1
Date Connected
19..
...... � -' �� -- 1�
Date Final------------
♦ J`'� .� %
------------- ---..--- ------ ---------------------------
PLUMING INSPkv yi
111 7/63-1M
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